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Maryland rates for HCPCS J2315

Injection, naltrexone, depot form, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.24 / $9.92 / $5,521.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.45 / $1,584.03
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $4.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $4.24 / $5.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.12 / $4.12 / $4.12